Individual
MRS. JAMIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
278 WESTLAKE RD, HARDY, VA 24101-3967
(540) 759-7500
(540) 759-7501
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004453
VA
Other
Enumeration date
01/30/2014
Last updated
10/21/2024
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